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One important component in healthcare system is pharmaceutical service delivery. Generally, a good pharmacy quality services is intended to pharmaceutical product which are well prepared, stored, distributed, dispensed and discarded. However, in these days services is assessed through medication availability, waiting time and user satisfactions. Patient satisfaction is closely related to the quality offered by the hospital; therefore, hospitals need to make continuous quality improvements to the process of service, facilities, utilities and health workers. The application of lean hospital in Indonesia has been carried out in several hospitals. This research aims to propose improvements to hospital pharmacy services quality by using Lean Hospital approaches in reducing services waiting time of compound medicine. A case study was chosen namely Hospital ABC at Central Java, conducted in February-April 2019. There is a crucial problem in pharmacy services at Hospital ABC, which is the prescription drug waiting time of compound medicine. This study begins with process flow analysis and waste identification by conducting interview with stakeholders of the hospital. Non-value added and value added activities been divided, then time measurement in each activity is carried out with a time study method, to get the actual time of compounding the drug. Current state flow was mapped using value stream mapping tools, and future state flow map was recommended. This study showed that total time needed in one cycle of a patient prescription was more than 60 minutes (not accordance to minimum service standards set by the Ministry of Health). Using lean tools, value added activities been identified and process time in future state map optimized to 47%. Some activities cannot be eliminated because they ere are non-value added but necessary activities. By using 5-why-s root cause analysis, deficiencies identified and improvement proposal were recommended.