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.

AMCON Distributing Company, through its subsidiaries, engages in the wholesale distribution of a range of consumer products in the Great Plains and Rocky Mountain regions, as well as in the operation of retail health food stores in Florida and the Midwest. The company operates through two segments: Wholesale Distribution and Retail Health Food. The Wholesale Distribution segment has 5 distribution centers that sell approximately 14,000 consumer products, including cigarettes and tobacco products, candy and other confectionery, non-alcoholic beverages, groceries, paper products, health and beauty care products, frozen and chilled products, and institutional food service products. It primarily distributes these products to approximately 4,000 retailers, such as convenience stores, discount and general merchandise stores, grocery stores and supermarkets, drug stores, and gas stations, as well as serves institutional customers, including restaurants and bars, schools, sports complexes and vendors, and other wholesalers. The Retail Health Food segment operates retail health food stores, which carry natural supplements, groceries, health and beauty care products, and other food items. As of September 30, 2008, the company had six retail health food stores in Florida under the name, Chamberlin's Market & Cafe, and seven in the Midwest under the name, Akin's Natural Foods Market. AMCON Distributing Company was founded in 1981 and is based in Omaha, Nebraska.

White Rose Food is a grocery distributor supplying more than 1,800 supermarkets, independent retailers, and cooperatives in New Jersey, Maryland, and the New York City metropolitan area with an assortment of foods, from dairy to frozen vegetables. In addition to its own White Rose label, the company distributes third-party and national brands. Other services include store planning and financing, group property insurance for businesses, and point-of-sale marketing. The company is a unit of food wholesaler Di Giorgio, which was acquired by food distribution co-op Associated Wholesalers in 2006.

United Stationers Inc., through its principal subsidiary, United Stationers Supply Co., engages in the wholesale distribution of business products in North America. The company distributes computer supplies and peripherals, including imaging supplies, data storage, digital cameras, and computer accessories, as well as computer hardware items, such as printers and other peripherals. It also offers office supplies consisting of filing and record storage products, business machines, presentation products, writing instruments, paper products, shipping and mailing supplies, calendars, and general office accessories. In addition, the company provides janitorial and breakroom supplies, such as cleaners and cleaning accessories; foodservice consumables, including disposable cups, plates, and utensils; safety and security items; and paper and packaging supplies. Further, it offers office furniture comprising desks, filing and storage solutions, and seating and systems furniture. Additionally, the company provides industrial supplies, including hand and power tools; safety and security supplies; janitorial equipment and supplies; industrial maintenance, repair, and operations items; and oil field and welding supplies. It serves independent office products dealers; contract stationers; office products superstores; computer products resellers; office furniture dealers; mass merchandisers; mail order companies; sanitary supply, paper, and foodservice distributors; drug and grocery store chains; healthcare distributors; e-commerce merchants; oil field, welding supply, and industrial/MRO distributors; and other independent distributors. United Stationers Inc. distributes its products through a network of distribution centers and resellers, as well as through catalogs. United Stationers Inc. was founded in 1922 and is headquartered in Deerfield, Illinois.

Educational Development Corporation operates as a trade publisher of a line of children’s books in the United States. It distributes children’s books published by Usborne Publishing Limited in the United Kingdom. Educational Development Corporation offers various books, including Touchy-Feely board books, jigsaw puzzle books, activity and flashcards, adventure and search books, art books, sticker books, and foreign language books, as well as science and math titles, and chapter books and novels. It sells books through two divisions, Usborne Books and More, and Publishing. The Usborne Books and More division distributes books through independent consultants, who hold book showings in individual homes; and through book fairs, direct sales, and Internet sales. It also distributes these titles to school and public libraries. The Publishing division markets books to bookstores, toy stores, specialty stores, museums, and other retail outlets. It distributes books through commissioned trade representatives who call on book, toy, specialty stores, and other retail outlets; and through in-house marketing by telephone to the trade. Educational Development Corporation was founded in 1965 and is headquartered in Tulsa, Oklahoma.

Axis-Shield plc is a pioneering organisation focused on the development and manufacturing of important in vitro diagnostic tests for use in clinical laboratories and at the point of care. In the laboratory sector we specialise in proprietary markers for diagnosis and management of critical illnesses such as diabetes, cardiovascular and neurodegenerative diseases and rheumatoid arthritis. At the point of care our products include the NycoCard® range and the state-of-the-art Afinion™ system. The company's shares are traded on the London and Oslo Stock Exchanges and the group comprises Laboratory Division in Dundee, a Point-of-Care Division in Oslo with a US operation in Norton, Mass., and local distribution subsidiaries in the UK (Axis-Shield UK), in Norway, Sweden, Denmark and Finland (Medinor), Switzerland (Axis-Shield AG) and in Germany (Axis-Shield GmbH).

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.

Associated Grocers of the South is a grocery wholesale cooperative serving more than 300 independently-owned supermarkets in Alabama, Florida, Georgia, Mississippi, and Tennessee. In addition to supplying more than 16,000 products under the Shurfine brand (from Topco Associates) and other labels, the cooperative provides its members with accounting, advertising, merchandising and other support services. Associated Grocers of the South was formed in Birmingham, Alabama, by a group of a dozen neighborhood stores in 1927.

Good Source Solutions specializes in distributing food products to correctional institutions, non-profit organizations, schools, and other customers in niche markets. Its secondary food products, including frozen meat, vegetables, and fruit, come from more than 300 food processing companies. Good Source Solutions also provides menu planning, product sourcing, portion control, and delivery to its more than 3,500 customers. In addition to foodservice distribution, the company offers purchasing and logistics services to food producers.

Applied Industrial Technologies, Inc. distributes various industrial products in North America. The company distributes bearings, power transmission components, industrial rubber products, linear components, tools, safety products, general maintenance products, and various mill supply products, as well as fluid power products, such as hydraulic, pneumatic, lubrication, and filtration components and systems. It also operates regional fabricated rubber shops, which modify and repair conveyor belts and make hose assemblies in accordance with customer requirements; and rubber service field crews to install and repair belts and rubber linings at customer locations. In addition, the company assembles fluid power systems, performs equipment repairs, and offers technical advices to firms, which purchase for maintenance, repair, and operations needs, as well as for original equipment manufacturing applications. Applied Industrial Technologies sells its products to various industries, including agriculture and food processing, automotive, chemical processing, forest products, industrial machinery and equipment, mining, primary metals, transportation, and utilities, as well as to government agencies. It offers industrial products through a network of service centers; and sells fluid power products directly to customers. Applied Industrial Technologies, Inc. was founded in 1923 and is headquartered in Cleveland, Ohio.

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