OBJECTIVES: To evaluate the perception of hospital pharmacists regarding quality of pharmaceutical care services in Khyber Pakhtunkhwa, Pakistan. METHODS: Qualitative assessment was implemented. A semi-structured interview guide was developed and face to face interviews were conducted. Hospital pharmacists was interviewed saturation point was reached at 13 in Khyber Pakhtunkhwa province of Pakistan from December to February 2014. The interviews were conducted at the hospital pharmacy, arrangements for the time and place of interview were made during initial contacts. Written consent was obtained from the participants prior to the interview. RESULTS: Among the respondents interviewed, nine were male and four female hospital pharmacist aged between 25 and 50 years. Thematic content analysis yielded 5 major themes: (a) Patients reporting (b) Lack of patient counseling (c) Lack of participation in health awareness programs, (d) Pharmacists reducing the prescribing errors, (e) Insufficient number of pharmacists CONCLUSIONS: Findings revealed that hospital pharmacist in Pakistan are not actively participating in provision of pharmaceutical care services. They are facing significant hurdles for their actively participation in patient care, major obstacles is  the unavailability of sufficient number of pharmacist, lack of appropriate time for patient counseling and poor relationship between pharmacists and other health care providers. Moreover there is a need to explore the concept of pharmaceutical care among the other healthcare providers and general public.