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There have been many studies evaluating patient satisfaction with pharmacy services in Indonesia. However, the results remain unclear and vary. Therefore, we conduct a systematic review to observe levels of satisfaction on pharmacy service and factors associated with patient satisfaction in community settings in Indonesia. We used Google Scholar, Portal Garuda, and Neliti as main databases. The date of the last search was May 2019. Inclusion criteria used in this study as follows: (1) original study, (2) measure patient satisfaction on pharmacy service, (3) settings in community pharmacies or community health centers, (4) published in journals or proceeding, and (5) online full text available. We used keyword both in Bahasa and in English in each database. Of the 9,617 studies retrieved through Google Scholar search (9560 studies), Portal Garuda (19 studies), and Neliti (38 studies), 34 records were excluded because of duplication. Of the 44 studies included in the full text review, 38 studies met the eligibility criteria and were included in qualitative synthesis. The most frequently used instrument has been SERVQUAL questionnaire (68.42%), covering 5 dimensions: reliability, responsiveness, assurance, empathy, and tangible. Twenty-four studies showed that patients were satisfied with pharmacy service. Only 4 studies showed that patients were not satisfied, mostly took place in primary health centers. Factors which showed a significant relationship with satisfaction were pharmacy appearance, drug information service, availability and variety of drugs, speed of service, age, education, employment status, quality of service, and price of drugs. Interestingly, 4 studies pointed that the implementation of pharmaceutical care showed no significant relationship with patient satisfaction. This study suggested pharmacists should promote their existence through delivering more pharmaceutical care to the patients.