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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.

Mawdsley-Brooks is one of the UK's largest independent pharmaceutical distributors. The company, operating as Mawdsleys, supplying more than 20,000 lines of branded, generic, and OTC products to pharmacies, hospitals, and other medical facilities. Founded in 1825, the company also offers merchandising and marketing services to independent pharmacists. Its Doncaster Pharmaceuticals subsidiary specializes in generic and imported drugs, while its Positive Solutions unit provides software and services for pharmacy management. Mawdsleys has distribution centers across the UK, as well as global import/export operations.

McKesson Canada, the largest distributor of pharmaceutical and medical supplies in Canada, is a subsidiary of top US health care supply management company McKesson Corporation. The company serves some 8,000 customers, which include retail pharmacies, hospitals, long-term care centers, clinics, and institutions, from more than 15 facilities throughout Canada. McKesson Canada also offers pharmacy and hospital automation services, including medication management, logistics, information technology, and outsourcing services such as call centers that provide disease management and nurse triage services.

McKesson Corporation offers medicines, pharmaceutical supplies, and information and care management products and services for the healthcare industry. It operates through two segments, Distribution Solutions and Technology Solutions. The Distribution Solutions segment distributes ethical and proprietary drugs, medical-surgical supplies and equipment, and health and beauty care products in North America. This segment also provides specialty pharmaceutical solutions for biotech and pharmaceutical manufacturers; and sells financial, operational, and clinical solutions for retail, hospital, and long-term care pharmacies, as well as provides consulting, outsourcing, and other services. The Technology Solutions segment offers enterprise-wide clinical, patient care, financial, supply chain, and strategic management software solutions. It also offers pharmacy automation for hospitals, as well as connectivity, outsourcing and other services, including remote hosting and managed services to healthcare organizations. In addition, this segment provides InterQual claims payment solutions, medical management software, and care management programs. Its customers include hospitals, physicians, homecare providers, retail pharmacies, and payors in North America, the United Kingdom, Ireland, other European countries, Asia Pacific, and Israel. McKesson Corporation was founded in 1833 and is based in San Francisco, California.

Pharmaceutical distribution company Mediq (formerly OPG Groep) is involved in both commercial wholesaling and consumer retailing of drugs and other health care supplies. In the Netherlands, the company has about 200 retail pharmacies (through Mediq Pharmacy) and operates drug and medical supply wholesalers that serve other pharmacies as well as hospitals, clinics, and nursing homes. It also provides related technology and logistics services. Mediq's international operations include wholesale and retail businesses in Poland, as well as other European countries and the US. It entered five new countries and greatly enhanced its medical device offerings with the 2010 buy of Oriola-KD for about $108 million.

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