Dermatology
Custom topicals for acne, hyperpigmentation, and post-procedure care — including hydroquinone and tretinoin combinations — compounded in Palm Harbor, Florida and shipped to Lewiston, ME. 38,404 residents in Androscoggin County. No local bench.
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For dermatology practices in Lewiston, Promise Pharmacy compounds custom topicals for acne, hyperpigmentation, and post-procedure care — including hydroquinone and tretinoin combinations on a patient-specific prescription, then ships from Palm Harbor, Florida. Lewiston is a smaller city of about 38,404 residents in Androscoggin County (U.S. Census Bureau, Vintage 2023 population estimates). Fulfillment target is five business days in the pharmacy, plus 2–4 business days in transit.
Service area — shipping, not a storefront
The useful question is not “does Promise Pharmacy serve Lewiston?” It is “can a Maine license, a five-day compounding SLA, and 2–4 business days of transit cover the way this clinic actually doses dermatology compounds?” For most dermatology practices, the answer is yes.
Lewiston has about 38,404 residents in Androscoggin County (U.S. Census Bureau, Vintage 2023 population estimates). That is not a same-day courier market. 2–4 business days from Palm Harbor is the planning number, and we ship to Lewiston as Lewiston — not as a satellite of a larger metro.
We do not operate a compounding bench in Lewiston. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific dermatology compounds for Lewiston are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Androscoggin County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Credentialing is not a formality. We check an active Maine-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders dermatology compounds. Testosterone and other controlled substances also need DEA registration.
Independent clinics, multi-site groups, and telehealth programs in Lewiston all write dermatology compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package — not a crate of stock bottles for the fridge.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Lewiston accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Standard compounding time is five business days. After that, Lewiston should plan on 2–4 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
USP chapters 795, 797, and 800 are the compounding standards we work to — not a slogan. Sterile work is a 797 problem; hazardous handling is an 800 problem. The Maine Board of Pharmacy can tell you how Maine expects a nonresident pharmacy to document that.
Federal compounding authority for what we do is 503A of the FD&C Act (21 U.S.C. § 353a): a licensed pharmacy, a patient-specific prescription, USP compounding standards. State permission to land the package in Lewiston sits with the Maine Board of Pharmacy.
Ordering
Active Maine prescribing license (and DEA if you will order controlled substances). Approval is typically within 48 hours — not instant.
Dermatology compounds are 503A. Each patient needs their own prescription in the portal.
Five business days on the Palm Harbor bench, with third-party testing on lots that require it.
Clinic or patient address. Typical transit 2–4 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Lewiston storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Lewiston transit & packaging | From Palm Harbor; typical 2–4 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
| Ship-to | Clinic or patient in Lewiston | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
Questions we actually get
Maine compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Lewiston storefront.