This research had the aim to investigate the relationships and the influences of market oriented, service quality, product quality, promotion strategy, manufacturer trust, quality of representative trust toward the drug retailer’s satisfaction with pharmaceutical manufacturer and distributor. Data was collected using written questionnaire. Data was tested for validity and reliability by means of cronbach’s alpha with a sample size of 40 individuals. The association values were: 0.682 for market oriented, 0.794 for service quality, 0.737 for product quality, 0.653 for promotion strategy, 0.712 for the manufacturer trust, 0.744 for quality of representative trust, and 0.680 for satisfaction. The results of the study showed that factors of market oriented, service quality, product quality, promotion strategy, manufacturer trust, quality of representative trust have a positive correlation with drug retailer’s satisfactions of pharmaceutical manufacturer and distributor. Out of all the factors studied, service quality, promotion strategy, and quality of representative trust have predictive power for drug retailer’s satisfactions with pharmaceutical manufacturer and distributor.