Well...thank you Zpak....yes...I can give you a perspective from a dental side, however, not from the pharmcy business side.
The dental business is very EXPENSIVE!!!!!!!!!!
We started 30 years ago with a loan of $57,000 - that equipped one operatory....there were not computers at that time for dental software. All charting was by hand & billing was done by hand.
X-rays were manual - not digital. There was no dental imaging, online billing, computer education,etc....Over the years we've added everything...there is always something else to buy & dentists love "trinkets - $500 trinkets...but, they are still trinkets to me!
We have friends who are new and young and just starting out. In our area, it is impossible to begin a practice from scratch as we did. There is just not the pt base & it costs more than $300K. Most new dentists buy a practice & slowly change the office to suit them.
A dental chair alone costs at least $5K. Serac cost $100K all by itself, but that is not something which you'd start out with. A Panorex costs $30K, digital x-rays cost $20-30K depending on how involved you want it to work with your software. The dental computer software & hardware cost about $20K.....You have to pay all your employees, rent, electricity, insurance, property tax, etc - overhead.
You have to produce as a dentist or be really, really good at employing & getting your employee dentists to produce lots & lots & lots of work.
Now...some folks make that work to their advantage...they don't much actually like the dental side - so they employ lots of dentists who keep production up then they do other stuff - consulation or management work. But...you really have to be a player - these people are really slick - and they spend very little time at home. They are always giving seminars somewhere.
Given all that...you also have to be able to have someone you really trust to oversee the business! We've had a couple of experiences in which we've had employees embezzel from his business. It hurts & you have no recourse unless its a lot of money & you want to get involved in the legal system.
(btw....dental hygeinists get the same hourly rate pharmacists get....go figure!)
Good luck with whatever you decide to do!