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Tamro is one of the top wholesalers and distributors of pharmaceuticals in Northern Europe, claiming a 54% market share in Nordic countries. Customers include hospitals, clinics, physician offices, and pharmacies. In addition to its 20 distribution centers in eight countries, the company has retail pharmacies in Estonia (as Apteek 1), Lativa (under the Gimenes Aptieka name), Lithuania (as Seimos Vaistine), Poland, and Norway (through Apokjeden Group). Tamro Corporation also operates in Russia through its 42% ownership of wholesaler ZAO Rosta. Tamro is owned by German drug distributor PHOENIX Pharmahandel.

Founded as Great Lakes Wholesale Drug in 1967, a steady regimen of acquisitions helped it transform into The Harvard Drug Group in 1997. The company is controlled by investment firm Court Square Capital Partners. Drugs, not scholars, are what come out of this Harvard. The Harvard Drug Group distributes branded and generic prescription and OTC drugs, vitamins, and consumer products to independent pharmacies, retail pharmacy chains, and buying groups through more than 100 sales representatives and through partnerships with about 35 different vendors. The firm also offers manufacturing services through its partnership with Canadian drugmaker Apotex.

Toho Pharmaceutical Co., Ltd. company acquired fellow Japanese wholesaler Asucome in 2010 and made it a subsidiary. Toho has more than a toehold in Japan's pharmaceutical distribution market. Toho Pharmaceutical is one of the country's leading pharmaceutical wholesalers, supplying medicines and other products to tens of thousands of customers, including clinics, hospitals, medical institutions, and pharmacies. The company purchases pharmaceuticals, medical and hygienic materials, and medical devices from nearly 1,000 manufacturers in Japan and beyond. Toho Pharmaceutical also provides customers with management consulting, human resource development, and site management organization consulting.

Unidrug Distribution Group actually distributes thousands of drugs. Unidrug Distribution Group (better known as UDG) provides warehousing and distribution of prescription drugs and over-the counter medicines throughout the UK. Principals represented by the company include a host of leading drug manufacturers, such as Abbot Labs, Bristol-Myers Squibb, and Schering Plough. UDG is a joint venture of Ireland's United Drug and Switzerland-based Alloga, which is part of UK-based Alliance Boots (formerly Alliance Unichem).

United Drug unites a lot of healthcare services under one roof. The company's Pharma Wholesale arm provides drug wholesaling in the Republic of Ireland (where it operates as United Drug), Northern Ireland (operating as Sanger), and the UK (Craig & Howard) and produces ingredients through Specials. United's Supply Chain group makes drug packaging in Europe and the US, and provides logistics through UniDrug Distribution Group. The Medical & Scientific division provides sales and marketing support to medical equipment manufacturers in the UK and Ireland, while subsidiary Ashfield In2Focus anchors United Drug's Contract Sales and Marketing organization offering healthcare-specific sales reps in the US and Europe.

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