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General NPI Number Information
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NPI Number | 1477364693
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Entity Type | Organization
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Legal Business Name | RMSS COMPOUNDING, LLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 200 W 4TH ST
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City | COOKEVILLE
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State | TN
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Zip | 38501
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Country | US
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Telephone | 931-559-6337
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Fax | 931-559-1002
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Provider Business Mailing Address
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Address Line | 330 N OAK AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-2440
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Country | US
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Telephone | 931-559-6337
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Fax | 931-559-1002
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Authorized Official
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Title or Position | OWNER
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Name | DR. JONATHAN CLINT MELTON
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Credential | PHARM D.
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Telephone | 931-559-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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