Besse Medical Supply in West Chester has accomplished what many small, family-run startups dream of: becoming part of a Fortune 26 company while holding onto family tradition. Besse started out as a Cincinnati corner pharmacy in 1948, eventually growing into a business supplying medical products to local physicians. Today, Besse is one of the nation's leading distributors of vaccines and biologicals, brand name and generic injectables and pharmaceuticals, diagnostic test kits, surgical supplies and more. Customers include physician's offices, specialty groups, clinics, occupational health facilities and health departments. The company employs 100 in West Chester, most in customer service, and has a shared distribution center in Louisville, Ky.