OBJECTIVES:  To explore pharmacy technology and clinical pharmacy services at Ministry of Health (MOH) hospitals in Saudi Arabia METHODS: It is a 4-months cross-sectional national survey of technology and clinical pharmacy services at MOH hospitals in Saudi Arabia. The study consisted of two-part a demographic information, and the second part contained eighty-five questions divided into six domains drove from American Society of Health-System Pharmacists (ASHP) survey. The parts were pharmacy management and resources, prescribing and medication management, preparation of drugs and dispensing, technology and clinical pharmacy services, drug monitoring and patient education, and pharmacy education and training. The 5-points Likert response scale system closed and ended questions used. An electronic questionnaire distributed to the one hundred eighty-five directors of pharmacies at MOH hospitals, and it analyzed the pharmacy technology and clinical pharmacy services section through survey monkey system RESULTS:  The total responders were seventy hospital pharmacies; the repose rate was (37.73%). Pharmacy computerized and technology in drug distribution network found in 14 (20%) hospitals only. The computerized physician order entry (CPOE) found at (13.14%) hospital pharmacies and alarming medication system at (10.27%) hospital pharmacies. The majority of hospital pharmacies 60 (85.7%) was not used new technology for drug distribution network. The most clinical pharmacy activities found were medication error preventing and monitoring 59 (89.39%), patient drug counseling 52 (78.79%), and provide drug information services 49 (75.38%). The hospital pharmacies provided clinical activities to adult Emergency section 39 (62.9%), adult medicine and surgery 40 (62.5%) units. The most clinical services measured clinical outcome, and cost avoidance was patient drug counseling 33 (55%), medication errors prevention 32 (52.46%), adverse drug reaction prevention 28 (46.67%), drug information inquiries 26 (44.07 %). CONCLUSIONS:  Pharmacy computerization and technology seldom implemented at MOH hospitals. The clinical pharmacy services are high demand to all medical and surgical for pediatric, adults, and geriatrics patients.