Healthcare Provider Details

I. General information

NPI: 1477364693
Provider Name (Legal Business Name): RMSS COMPOUNDING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 4TH ST
COOKEVILLE TN
38501
US

IV. Provider business mailing address

330 N OAK AVE
COOKEVILLE TN
38501-2440
US

V. Phone/Fax

Practice location:
  • Phone: 931-559-6337
  • Fax: 931-559-1002
Mailing address:
  • Phone: 931-559-6337
  • Fax: 931-559-1002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN CLINT MELTON
Title or Position: OWNER
Credential: PHARM D.
Phone: 931-559-6337