Custom Ivy INC

NPI #1346105228 in Aliso Viejo, California

Provider Information

NPI Number
1346105228
Entity Type
Organization
Organization Name
Custom Ivy INC
Primary Specialty
Pharmacy
Enumeration Date
Dec 22, 2025
Last Updated
Dec 22, 2025

Practice Location

Address
72 ARGONAUT STE 130
ZIP Code
92656-4144
Phone
(949) 520-6864

Authorized Official

Name
GREG WARE
Title
CEO/CFO/SEC.
Phone
(949) 615-6534

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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