Medical System Network Co., Ltd. (TSE: 4350) operates as a pharmaceutical network platform supporting community dispensing pharmacies across Japan; it manages the Nanohana Pharmacy chain and provides comprehensive services including pharmaceutical procurement, supply chain management encompassing wholesale price negotiation, drug ordering, and payment settlement; dispensing pharmacy systems development and sales; generic pharmaceuticals manufacturing and marketing through subsidiary Feldsenf Pharma Co., Ltd.; digital transformation support via PharmaShift Co., Ltd. with tools like the LINE-based Tsunagaru Pharmacy service; and pharmaceutical logistics via Medi Logi Net. The Community Pharmacy Network segment, its primary revenue source at 95% of FY03/25 sales of JPY122.4 billion, encompasses directly operated pharmacies, affiliated networks, and support businesses; Leasing and Facility-related offers building leasing, pharmacy location development, and elderly serviced housing; Meal Catering provides contracted food services to hospitals and welfare facilities; and Other includes home-visit nursing care. Founded in 1999 and headquartered in Sapporo, Hokkaido, the company serves pharmacies, hospitals, clinics, and wholesalers nationwide, with its pharmaceutical network expanding to 11,511 members (469 directly operated and 11,042 affiliates) as of September 2025. In October 2025, Medical System Network announced its long-term Machino Akari Vision 2035, targeting operating profit of JPY10.0 billion by FY03/35 (from JPY3.1 billion in FY03/25), ROE of 12-15% (from 8%), support for 45,000 pharmacies (from over 15,000), and market coverage of 75-80%; it maintains FY03/26 forecasts of sales JPY125.5 billion and operating profit JPY3.4 billion amid 1H FY03/26 results showing sales up 6.9% year-over-year; earlier in September 2025, it addressed a dispensing fee miscalculation issue from FY03/21-FY03/25, recording minimal earnings impact.