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Acquisitions and Investments - NEVSCO (Details) - USD ($)
$ in Thousands
1 Months Ended
Dec. 31, 2017
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2018
Business Acquisition [Line Items]        
Goodwill   $ 6,706,719 $ 6,705,507 $ 6,664,272
Northeast Veterinary Supply Company NEVSCO        
Business Acquisition [Line Items]        
Cash paid to acquire business, including purchase price adjustments $ 70,000      
Goodwill 30,400      
Estimated fair value of accounts receivable 8,500      
Estimated fair value of inventory 6,700      
Estimated fair value of accounts payable and accrued expenses 2,900      
Estimated fair value of the intangible assets acquired, finite-lived $ 29,800      
Customer relationships | Northeast Veterinary Supply Company NEVSCO        
Business Acquisition [Line Items]        
Estimated useful life (in years) 15 years