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.

J.W. Filshill wholesales and distributes food, beverages and tobacco, including confectionary, snacks, soft drinks, groceries, beer, wine, and liquor to some 2,000 independant retailers. The company was founded in 1875 as a confectionary manufacturer, a business it divested in 1986 to concentrate on distribution. At one time it was a major cash-and-carry wholesaler, but now deliveries account for more than 85% of its business. While a warehouse fire and the loss of a major contract in mid-2005 hurt the company's profits, it intends to rebuild itself into a more efficient operation. Managing director Ronnie Hannah holds a controlling stake in the family firm.

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.

MSC Industrial Direct Co., Inc. (MSC), together with its subsidiaries, operates as a direct marketer and distributor of metalworking and maintenance, repair, and operations (MRO) supplies to industrial customers throughout the United States. Its product line comprises cutting tools; measuring instruments; tooling components; metalworking products; fasteners; flat stock; raw materials; abrasives; machinery hand and power tools; safety and janitorial supplies; plumbing supplies; material handling tools; power transmission products; and electrical supplies. MSC distributes approximately 600,000 industrial products from approximately 3,000 suppliers. The company offers its products through a combination of approximately 29 million direct-mail catalogs and CD-ROMs, branch sales offices, sales people, the Internet, and through associations with B2B e-commerce portals to individual machine shops, Fortune 1000 companies, and government agencies, including the General Services Administration and the Department of Defense. MSC Industrial Direct Co., Inc. was founded in 1941 and is headquartered in Melville, New York with an additional office in Southfield, Michigan.

Sledd Co. is a leading wholesale supplier of food and non-food items to convenience stores and other retailers in half a dozen states, including Kentucky, Maryland, Ohio, Pennsylvania, Virginia, and West Virginia. The company distributes such items as candy, dry groceries, frozen foods, tobacco products, and general merchandise. Formed in 1937, Sledd is owned by president Robert Sincavich.

Associated Wholesalers is a retailer-owned cooperative that supplies an array of food and nonfood products to independent grocers and convenience stores along the eastern seaboard. From distribution centers in Pennsylvania and New Jersey, it offers broadline grocery products, bakery goods, meat and dairy items, fresh produce, and frozen foods, as well as a full line of general merchandise products. The company's White Rose Foods unit serves supermarkets and grocers in the New York City area, New Jersey, and throughout New England. Associated Wholesalers also operates about 15 supermarkets, mostly under the Shurfine Markets banner.

Sigma Pharmaceuticals provides medicines and medical supplies to the UK's pharmacies and hospitals. The company offers a wide product line of pharmaceuticals -- focusing on generic and over-the-counter drugs -- to thousands of UK clients. Other products sold include medical mobility equipment (through its Sigmobility unit) and wound care and surgical supplies. Much of Sigma Pharmaceuticals' business involves parallel importing, in which the company buys generic medications abroad, reprocesses them through subsidiary OPD Laboratories, and repackages them for sale in the UK.

Blitz Ventures, Inc., which does business as BottomLine Foods, procures and sells a variety of closeout food and grocery products to institutions, manufacturers, brokers, hunger relief organizations, government agencies, and others. BottomLine products include frozen and fresh foods, dry goods, health and beauty products, and general merchandise.

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.

Accredo Health is one pharmacy where you won't be able to pick up a bottle of aspirin. As the specialty pharmacy segment of pharmacy benefits manager Medco Health, Accredo dispenses high-tech injectable and infusion drugs for chronic and serious illnesses such as cancer, multiple sclerosis, hemophilia, pulmonary arterial hypertension (PAH), and certain autoimmune disorders. Under contracts with managed care organizations and drugmakers, it delivers drugs and related supplies in temperature-controlled packaging to patient homes or clinics. It also provides consulting and monitoring services to make sure patients are complying with their drug regimens, and it files claims on behalf of patients and doctors.

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