Industry map/Retail, Trading & Restaurants

Drugstores & Pharmacies industry map

Who earns the money in Drugstores & Pharmacies, and who keeps it. When a company spans several industries, only the relevant segment is counted.

FY2025 · 32 companies · ¥8.24T

Industry map

Companies ordered by revenue, connected by ownership (major shareholders). Arrows point from the shareholder to the investee.

Industry size (revenue)
¥8.24T

YoY +15.2%

Companies
32
Avg. salary(parent only)
¥6.3M

Avg. age 43.8

Industry weather
Sunny

Operating income +13.6%

Tsuruha Holdings[3391]

#1▲
Revenue
¥1.45T▲71.5%
Operating income
¥63B▲66.4%

Margin 4.3%

Avg. salary ¥7.4M · 44.0(parent only)

MatsukiyoCocokara & Co[3088]

Matsumoto Kiyoshi Group + 3 more

#2▼
Revenue
¥1.12T▲5.3%
Operating income
¥101.6B▼0.3%

Margin 9.1%

Whole company: Revenue ¥1.12T · Net income ¥55.8B

Avg. salary ¥7.5M · 48.3(parent only)

COSMOS Pharmaceutical[3349]

#3▼
Revenue
¥1.01T▲4.8%
Operating income
¥40.4B▲28.3%

Margin 4.0%

Avg. salary ¥4.9M · 31.7(parent only)

Sugi Holdings[7649]

#4▼
Revenue
¥1.01T▲15.1%
Operating income
¥48.6B▲14.1%

Margin 4.8%

Avg. salary ¥8.3M · 44.5(parent only)

Kusuri NO Aoki Holdings[3549]

#5▲
Revenue
¥501.5B▲14.8%
Operating income
¥26.6B▲43.3%

Margin 5.3%

Avg. salary ¥5.3M · 35.4(parent only)

Sundrug[9989]

Drug store

#6▼
Revenue
¥478.4B▲4.1%
Operating income
¥27.5B▲3.1%

Margin 5.7%

Whole company: Revenue ¥842.5B · Net income ¥31.4B

Avg. salary ¥5.9M · 34.0(parent only)

Create SD Holdings[3148]

#7
Revenue
¥457.1B▲8.2%
Operating income
¥22.6B▲11.9%

Margin 4.9%

Avg. salary ¥10.4M · 51.3(parent only)

AIN Holdings[9627]

Dispensing pharmacy + 1 more

#8
Revenue
¥445.8B▲14.7%
Operating income
¥29.1B▼5.2%

Margin 6.5%

Whole company: Revenue ¥456.8B · Net income ¥9.26B

Avg. salary ¥7.5M · 43.8(parent only)

Cawachi[2664]

#9
Revenue
¥284.5B▼1.2%
Operating income
¥6.78B▼9.1%

Margin 2.4%

Avg. salary ¥5.6M · 37.0(parent only)

Genky DrugStores[9267]

#10
Revenue
¥200.8B▲8.6%
Operating income
¥9.66B▲7.1%

Margin 4.8%

Valor Holdings[9956]

Drugstore business

#11
Revenue
¥184.5B▲4.0%
Operating income
¥3.78B▼5.8%

Margin 2.1%

Whole company: Revenue ¥896.2B · Net income ¥16.5B

Avg. salary ¥7.4M · 45.1(parent only)

Qol Holdings[3034]

Health insurance pharmacy

#12
Revenue
¥177.5B▲3.4%
Operating income
¥9.73B▼3.0%

Margin 5.5%

Whole company: Revenue ¥290.8B · Net income ¥7.41B

Avg. salary ¥7.2M · 45.8(parent only)

※ Card revenue and operating income cover only the segment in this industry; “Whole company” shows consolidated revenue and net income.

Other companies: Yakuodo Holdings · Medical System Network · Toho Holdings · Satudora Holdings · Suzuken · Tokai · Pharmarise Holdings · Alfresa Holdings · Ship Healthcare Holdings · Medical Ikkou Group · Kamei · Vital KSK Holdings · Falco Holdings · Yamazawa · HOKUYAKU TAKEYAMA Holdings · Miahelsa Holdings · Hyuga Primary Care · Axas Holdings · Sophia Holdings · Chukyoiyakuhin

The weather is derived mechanically from year-over-year totals of revenue and operating income (both up = sunny, both down = rainy).

Switch years to see how the map shifts

Who earns the money

Area = revenue from businesses in this industry. Color = operating margin.

LossHigh margin(middle = 0% margin)

Who makes a profit

Across = revenue (log scale), up = operating margin, bubble size = operating income.

Ranking and momentum

RankCompany (business)RevenueShareOp. marginCAGRFCF*
1▲3Tsuruha Holdings¥1.45T17.6%4.3%+41.2%¥56.1B
2▼1MatsukiyoCocokara & CoMatsumoto Kiyoshi Group + 3 more¥1.12T13.6%9.1%+11.2%¥53.1B
3▼1COSMOS Pharmaceutical¥1.01T12.3%4.0%+8.6%-¥859M
4▼1Sugi Holdings¥1.01T12.3%4.8%+12.7%¥61B
5▲1Kusuri NO Aoki Holdings¥501.5B6.1%5.3%+13.2%-¥43M
6▼1SundrugDrug store¥478.4B5.8%5.7%+6.0%¥12.2B
7Create SD Holdings¥457.1B5.5%5.0%+7.8%¥5.97B
8AIN HoldingsDispensing pharmacy + 1 more¥445.8B5.4%6.5%+12.1%¥11B
9Cawachi¥284.5B3.5%2.4%+0.4%¥4.54B
10Genky DrugStores¥200.8B2.4%4.8%+9.0%-¥2.51B
11Valor HoldingsDrugstore business¥184.5B2.2%2.1%+4.9%¥9.61B
12Qol HoldingsHealth insurance pharmacy¥177.5B2.2%5.5%+3.8%¥10.6B
13Yakuodo Holdings¥163.8B2.0%3.2%+8.0%-¥8.93B
14Medical System NetworkCommunity pharmacy network segment¥127.1B1.5%4.7%+5.8%-¥6.3B
15Toho HoldingsDispensing pharmacy¥100.5B1.2%1.4%+2.3%¥9.73B
16▲1Satudora HoldingsRetail business¥98.4B1.2%1.6%+4.4%¥771M
17▼1SuzukenThe community healthcare and nursing care support business¥93.9B1.1%1.7%—¥15.7B
18TokaiDispensing service¥62.9B0.8%3.9%+7.8%¥7.37B
19Pharmarise HoldingsDispensing pharmacy + 1 more¥61.3B0.7%0.9%+5.0%¥609M
20Alfresa HoldingsDispensing Pharmacy and Related businesses¥37.2B0.5%1.3%—¥10B
21Ship Healthcare HoldingsDispensing pharmacy¥34.7B0.4%11.6%+4.6%¥17.4B
22Medical Ikkou GroupDispensing pharmacy¥26.3B0.3%5.2%+3.7%¥656.2M
23KameiPharmacy¥20.4B0.2%-0.4%+3.6%¥17.6B
24Vital KSK HoldingsPharmacy Business¥20B0.2%1.3%+2.1%-¥435M
25Falco HoldingsDispensing Pharmacy Business¥15.2B0.2%4.4%-1.8%¥1.28B
26YamazawaDrugstore business¥13.1B0.2%-0.8%-0.2%¥4.88B
27HOKUYAKU TAKEYAMA HoldingsDispensing industry¥12.6B0.2%-0.8%-2.0%-¥768M
28Miahelsa HoldingsMedicine business¥9.95B0.1%5.1%+3.2%¥513.8M
29Hyuga Primary CareHome visit pharmacist service + 1 more¥9.66B0.1%14.7%—-¥15.3M
30Axas HoldingsRetail sale business¥7.36B0.1%2.1%-2.1%-¥2.08B
31Sophia HoldingsDispensing pharmacy and related business¥6.96B0.1%5.2%—¥29.8M
32ChukyoiyakuhinRetail division¥3.9B0.0%1.9%-0.4%¥58.3M

* FCF is company-wide (not disclosed by segment). CAGR covers the available years, up to five.

How they make money differently

Where each company's ¥100 of sales goes, and how much it keeps (company-wide).

Ownership links

From the major-shareholder section of annual securities reports.

The company on each card is a major shareholder of the companies listed under it (latest 'major shareholders' disclosure). 50%+ is labelled subsidiary and 20%+ affiliate, based on ownership alone. Stakes under 3% are omitted.

Compare the leaders side by side

All companies in Drugstores & Pharmacies (by revenue)

All 32 companies in this industry, ranked by revenue in each company's latest fiscal year. For companies that belong through one business segment, the figure is that segment's revenue.

  1. Tsuruha Holdings¥1.45T · 4.3%
  2. MatsukiyoCocokara & Co¥1.12T · 9.1%
  3. COSMOS Pharmaceutical¥1.1T · 3.9%
  4. Sugi Holdings¥1.01T · 4.8%
  5. AIN Holdings¥636.7B · 6.6%
  6. Kusuri NO Aoki Holdings¥566.9B · 4.8%
  7. Create SD Holdings¥497.1B · 4.8%
  8. Sundrug¥478.4B · 5.7%
  9. Cawachi¥284.5B · 2.4%
  10. Genky DrugStores¥220.6B · 5.0%
  11. Valor Holdings¥184.5B · 2.1%
  12. Qol Holdings¥177.5B · 5.5%
  13. Yakuodo Holdings¥163.8B · 3.2%
  14. Medical System Network¥127.1B · 4.7%
  15. Toho Holdings¥100.5B · 1.4%
  16. Satudora Holdings¥98.4B · 1.1%
  17. Suzuken¥93.9B · 1.7%
  18. Pharmarise Holdings¥67.4B · 1.9%
  19. Tokai¥62.9B · 3.9%
  20. Alfresa Holdings¥37.2B · 1.3%
  21. Ship Healthcare Holdings¥34.7B · 11.6%
  22. Medical Ikkou Group¥26.3B · 5.2%
  23. Kamei¥20.4B · -0.4%
  24. Vital KSK Holdings¥20B · 1.3%
  25. Falco Holdings¥15.2B · 4.4%
  26. Yamazawa¥13.1B · -0.8%
  27. HOKUYAKU TAKEYAMA Holdings¥12.6B · -0.8%
  28. Miahelsa Holdings¥9.95B · 5.1%
  29. Hyuga Primary Care¥9.66B · 14.7%
  30. Axas Holdings¥7.36B · 2.1%
  31. Sophia Holdings¥6.96B · 5.2%
  32. Chukyoiyakuhin¥3.9B · 1.9%

Revenue · Op. margin

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