In the US milk is taken direct from the farm to a dairy. This might be an on-farm dairy, owned by the same people who own the cows. It might also be a cooperative of dairy farmers working together, or it could be a separate corporation with no connection to the farm other than the contractual agreement to provide raw milk.
At the dairy, the milk gets processed into all the formulations you see in the store, including cream, buttermilk, ice cream, sour cream, and cheese.
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