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Franz Haniel & Cie. is a five-headed hydra. The holding company is comprised of a handful of operating divisions -- Celesio, CWS-boco, ELG, TAKKT, and METRO -- each of which specializes in a different core business. Haniel derives the bulk of its sales from distributing pharmaceuticals to pharmacies worldwide through drug wholesaler Celesio. Its other divisions offer washroom and workwear products and services; stainless steel scrap recycling; mail-order of office and warehouse equipment; and retail store operations. Haniel has operations in some 30 countries. Members of the Haniel family have controlled Franz Haniel and Cie. GmbH company since its founding in 1756.

Genus Pharmaceuticals is owned by German drug maker STADA Arzneimittel. This is the company that put the genius into affordable medicine. Genus Pharmaceuticals supplies more than 40 generic and brand-name medicines in more than 100 forms, which it then sells wholesale to NHS hospitals and retail pharmacies all over the UK. The company's three main focuses are treatments for tuberculosis, pain management, and dermatology. It acquired several brands in the past few years and is looking to expand its portfolio.

Grupo Casa Saba, S.A.B. de C. V., through its subsidiaries, operates as a multi-channel and multi-product wholesale distributor in Mexico, the United States. It distributes pharmaceutical products, health, beauty aids and consumer goods, general merchandise, publications, and various other products. In addition, the company offers freight services to third parties; real estate services; value added services comprising multiple daily deliveries, emergency product replacement, merchandising, marketing support, and other customer counseling services; and training, conferences, and trade fairs. It serves privately-owned and government pharmacies, mass merchandisers, regional and national supermarkets, department stores, retail and convenience stores, wholesalers, and other specialized channels. The company also operates medical clinics; and offers specialized medical, rehabilitation, and surgical services. As of December 31, 2009, Grupo Casa Saba, S.A.B. de C. V. operated a network of 22 distribution centers. Grupo Casa Saba, S.A.B. de C. V. was founded in 1892 and is based in Mexico, Mexico.

With a name like Smith you might think it's all about generics, but H. D. Smith Wholesale Drug is more than that. H. D. Smith Wholesale Drug supplies pharmaceuticals (brand name and generic), over-the-counter supplements, and other health care products to pharmacies, hospitals, and retailers. It also provides inventory management services for government agencies, including most branches of the military, veterans clinics, and federal prisons. In addition to supplying drugs, H. D. Smith offers a variety of marketing and merchandising services including point-of-purchase signage, store design, direct-to-consumer advertising programs, and loyalty program implementation.

Kinray, one of the US's top private wholesale drug distributors, won't be independent much longer. The company provides generic, branded, and repackaged drugs, health and beauty products, medical equipment, vitamins, and diabetes-care products to 2,000 independent pharmacies, long-term care facilities, and specialty pharmacies along the Eastern Seaboard. Kinray also offers about 800 private label products under the Preferred Plus Pharmacy brand. The firm was founded in 1944 by sole owner and CEO Stewart Rahr's father, Joseph Rahr. The younger Rahr took over in 1975 and has since turned the company into a multi-billion dollar enterprise. However, in 2010 Kinray agreed to be acquired by Cardinal Health.

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