Pharmaceutical wholesaler Alfresa Holdings Corporation encompasses Alfresa Corporation, which oversees the wholesale side of the business (the group's bread and butter), and Alfresa Pharma, which takes care of manufacturing, marketing, and importing and exporting. Both deal not only in drug products, but diagnostic reagents and medical equipment, as well. Additional businesses under the aegis of Alfresa Holdings include Ando Co., Daiwa Pharmaceutical Wholesalers, Kowa Pharmaceuticals, and Qingdao Nesco Medical Co. Another example of merger and acquisition activity in the Japanese drug industry, Alfresa was created in 2003 from the combination of wholesalers Azwell and Fukujin.

Diaz Wholesale & Manufacturing, which does business as Diaz Foods, is a leading wholesale distributor of Hispanic food products serving more than 3,500 retail and foodservice customers in about 25 states. Its inventory of 6,000 items includes refrigerated and frozen foods imported from Central and South America and from the Caribbean; Diaz Foods also supplies some Asian ingredients as well. CEO Rene Diaz started the family-owned business in 1980 as an outgrowth of his family's Atlanta grocery chain.

Synergy Brands Inc., through its subsidiaries, engages in the manufacture and distribution of baking mixes, spices, and packaged meals in the United States. It also involves in the wholesale distribution of private label groceries, general merchandise, and health and beauty aid products. In addition, the company provides cruise and resort hotel packages to airline employees and their retirees. Synergy Brands Inc. was founded in 1988 and is based in Syosset, New York.

Celesio likes being a middleman when it comes to pharmaceuticals. The company is one of Europe's largest drug wholesalers, holding market-leading positions in several of the countries it serves. Its largest wholesale markets are France, Germany, and the UK. In addition to more than 140 wholesale distribution branches, Celesio owns retail chains consisting of 2,300 pharmacies in Europe, including Norway, Italy, and the UK. The company also offers marketing, logistics, and transportation solutions to pharmaceutical manufacturers through its manufacturer solutions division (and its Movianto and pharmexx units). German conglomerate Franz Haniel & Cie. owns a majority stake in Celesio, which was founded in 1835.

Eby-Brown Company, LLC is a leading convenience store supplier that distributes more than 16,000 products to some 13,000 retail locations in 30 states, mostly east of the Mississippi. It operates about half a dozen distribution centers that supply such items as beverages, candy and snack foods, frozen and refrigerated foods, tobacco products, and general merchandise. In addition, the company offers advertising and promotion services for its customers. The family-owned Eby-Brown was founded in 1887 by the Wake family.

STAAR Surgical Company is at the vanguard of minimally invasive ophthalmic vision enhancement and technology. We believe in the importance of improving the efficiency, convenience, and comfort of corrective eye surgery for both medical professionals and patients. It is for this reason that we continually evaluate our existing products to ensure that we are providing the latest cataract, refractive error, and glaucoma treatments. From our patented COLLAMER lenses to Cruise Control, our unique new high vacuum surgery system, STAAR Surgical Company is responsible for some of the most revolutionary developments in ophthalmology. Regarded as a technology leader in the surgical eye correction industry, STAAR Surgical Company was founded in 1982 when the intraocular lens (IOL) was still in its relative infancy. Although still an integral part of the company's portfolio, STAAR Surgical Company's product lines have expanded beyond cataract correction solutions to include lenses and medical devices for refractive and glaucoma surgery.STAAR Surgical Company has revolutionized the industry with its development and use of Collamer. This unique lens material is used in the Afinity™ line of intraocular lenses (IOLs), the Visian ICL, and the Visian TICL*. Each Collamer lens produced by STAAR Surgical Company is made from a material that not only is durable, but also replicates features of the eye's natural lens, creating high quality of vision and optimal biocompatibility. STAAR Surgical Company has developed into a global surgical eye correction technology leader. To foster ongoing growth, we emphasize creativity, research, and development. Using these tools, STAAR Surgical Company plans to continue making advancements in technology, marketing, and financial strength.

Cash-Wa Distributing supplies food, produce, beverages, equipment, cleaning supplies, and more to foodservice operators and convenience stores throughout Nebraska and in parts of nine other Upper Plains states. It operates three distribution centers, and serves more than 3,500 customers. The family owned and operated company was formed in 1934 as a candy and tobacco wholesaler and was purchased by the Henning family in 1957. Cash-Wa Distributing is a member of the UniPro distribution cooperative.

MIECO's got the power, but it's willing to make a swap. The subsidiary of Marubeni trades in petroleum products, natural gas, and electricity; it also offers transportation and risk management services, as well as marketing and trade financing. The company's customers include utilities, independent power producers, and other energy-related companies. The petroleum products trading group, set up in 1985, has been the cornerstone of MIECO. Other activities include product terminalling and fuel oil marketing. MIECO INC., which has offices in California, New Jersey, and Texas, serves supply and distribution needs in the American and Pacific Rim markets.

One of Germany's leading pharmaceutical wholesalers, Andreae-Noris Zahn AG (ANZAG) distributes drugs to thousands of pharmacies across its home country and beyond. The company delivers drugs from a network of some two dozen facilities across Germany and focuses its attention on serving independent, owner-managed pharmacies. ANZAG has also been expanding outside of Germany, acquiring pharmaceutical distributors in countries such as Croatia, Lithuania, and Romania. In addition to its drug wholesaling operations, the company offers healthcare logistics and information technology services. UK drug wholesaler Alliance Boots owns the majority of ANZAG's shares.

Australian Pharmaceutical Industries Limited (API) has developed into one of Australia’s leading beauty and health retail companies. API was founded in 1910 and became one of Australia’s leading pharmaceutical distributors. Changes within the pharmacy industry propelled API to focus on the needs of consumers and patients thereby developing a retail footprint and retail services that provide growth opportunities for the company today. API is one of the leading service providers to the pharmacy industry in Australia and today has a relationship with more than 4000 independent pharmacies. The services include wholesale product delivery, retail services, marketing programs and business advisory services. API also owns and operates the Priceline retail store brand that is a leading health and beauty brand in Australia. The company has product manufacturing capabilities and it is a niche player in over-the-counter pharmaceuticals and toiletries, which supply the Australian and New Zealand markets.API believes that all its service and product offerings must ultimately end with meeting a need of a consumer or patient. As the leading distributor of pharmaceuticals in Australia, API has staff in warehouses across the country that ensure daily deliveries of medicines to pharmacies that aim to improve the life of their patients. API is the leading franchisor in the pharmacy industry, with more than 150 Priceline Pharmacy stores, it provides the pharmacist franchisees a total retail model. Combined with the traditional Priceline stores (no pharmacy service) that the company owns, API provide health and beauty products that meet the needs consumers. Every day staff in these stores are providing advice to consumers to add vitality and wellness to their lives. The manufacture of our products is undertaken to the highest standards so that patients and consumers can benefit from them and improve their lives. API’s story is one of growth and development, and today it continues to pursue growth by supporting its independent pharmacy partners and believes it is best placed to achieve this by focussing on what drives purchasing patterns of health and beauty products.

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