NAD+
A credentialed 503A account for wellness, longevity, and aesthetics clinics in Warren. Five-day compounding, then about 2–4 business days in transit. Census: 136,655 (U.S. Census Bureau, Vintage 2023 population estimates).
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Warren providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Warren is a mid-size city of about 136,655 residents in Macomb County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 2–4 business days.
Service area — shipping, not a storefront
If you practice in Warren, the honest version of this page is simple: we compound NAD+ compounds in Palm Harbor, we are licensed to ship into Michigan, and we will not pretend a USPS tracking number is a local pharmacist down the street.
Warren (136,655 in Macomb County, U.S. Census Bureau, Vintage 2023 population estimates) loses winter days to weather. An unattended porch is a worse destination than a staffed suite when the compound is temperature-sensitive. Typical transit is 2–4 business days.
We do not operate a compounding bench in Warren. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Warren are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Macomb 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 Michigan-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Warren is a mid-size city of about 136,655 residents in Macomb County (U.S. Census Bureau, Vintage 2023 population estimates). Wellness, longevity, and aesthetics clinics here usually need two ship-to patterns: the suite, and the patient who never comes in. We do both on the same account.
Every tested batch has a Certificate of Analysis in the provider portal. If a Warren medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Warren accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Michigan permits licensed nonresident pharmacies to ship compounded prescriptions and has a large healthcare provider workforce. Verify a pharmacy license on the Michigan Board of Pharmacy site rather than trusting a marketing page, including this one.
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 Warren sits with the Michigan Board of Pharmacy.
Ordering
Active Michigan prescribing license (and DEA if you will order controlled substances). Approval is typically within 48 hours — not instant.
NAD+ 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 Warren storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Ship-to | Clinic or patient in Warren | Retail counter or mail-order PBM rules |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Warren 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 |
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Warren storefront.