This document summarizes the history and operations of Pharma D&S, an Italian consulting firm for the pharmaceutical and medical device industries. It was founded in 2001 and has expanded over the years, opening offices in Milan, Rome, Barcelona, Munich, and soon Amsterdam. The group's revenue and number of employees have steadily increased between 2011-2018. Pharma D&S provides services such as regulatory affairs, pharmacovigilance, clinical trials, quality management, and medical affairs to pharmaceutical, medical device, cosmetic, food, and supplement clients. It works with clients through both in-house support and by assigning dedicated project managers and teams.