DMSCO was first established in 1991 as Mohammed Saad Al Farraj Establishment for Commercial Services, opened its first branch as a pharmacy in Al-Khobar in 1993, and in 2001 turned one of its branches into Al-Dawaa Medical Services. It was listed on the Saudi Stock Exchange in March 2022. Today, the company has more than 900 pharmacies in over 100 cities across Saudi Arabia. The company generated over $1 billion in revenues in the first nine months of 2022. AlFarraj is also chairman of the Eastern Cement Company and the Kanaf Charity Organisation and is a board member at the National Laboratory Company and the Saudi Cancer Society, among others.