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5 Best Pharmacies in Seattle (2026)

Independently ranked by our review of ratings, reviews and reputation · How we chose

Elara Kestrel
By Elara Kestrel, Health and Medical Expert · ✓ Data verified August 2026 · 7 min read

Seattle's independent pharmacies have quietly built a following that rivals the chains: Kelley-Ross alone runs three locations here and its flagship at 7th and Madison has logged 153 reviews at 4.8 stars. Pharmacies in Seattle range from a downtown Target-based CVS to family-run counters that still call you by name, and which one fits depends less on brand than on what you actually need filled.

Short answer: The top-rated pharmacy in Seattle is a tie at 4.8 stars between Kelley-Ross Pharmacy at 7th and Madison (153 reviews) and its sister location Kelley-Ross Capitol Hill Pharmacy (32 reviews), with Eastern's Pharmacy in First Hill close behind at 4.7. CVS Pharmacy downtown carries the most reviews of the group at 171 but the lowest rating, 3.6.
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Seattle Pharmacies, Side by Side

# Business Rating Reviews Best for
1 Kelley-Ross Pharmacy at 7th and Madison 4.8 ★ 153 Downtown / compounding referrals View ›
2 CVS Pharmacy 3.6 ★ 171 Chain convenience / extended hours View ›
3 Kelley-Ross Compounding Pharmacy 4.6 ★ 46 Compounded prescriptions View ›
4 Eastern's Pharmacy 4.7 ★ 39 Family-run / First Hill neighborhood View ›
5 Kelley-Ross Capitol Hill Pharmacy 4.8 ★ 32 Travel vaccines / Capitol Hill View ›
5 Best Pharmacies in Seattle (2026)

Our top picks, reviewed

Kelley-Ross Pharmacy at 7th and Madison logo
#1 Overall🕑 Open 5 days/wk↩ Responds to reviews

Kelley-Ross Pharmacy at 7th and Madison

4.8153 Google reviews

Kelley-Ross Pharmacy at 7th and Madison is the flagship location of a small independent Seattle pharmacy group, filling standard prescriptions alongside a separate compounding operation nearby. It sits inside the old Polyclinic building downtown and serves walk-in patients as well as those referred from local clinics. The pharmacy also handles travel vaccines and immunizations on top of routine dispensing.

What people praise

  • Staff take time to walk through medication instructions clearly
  • Pharmacists and techs consistently described as kind and patient
  • Quick to fill compounded prescriptions when needed
  • Manager follows up personally when something goes wrong

Worth knowing

  • Compounded prescriptions are picked up at a separate building, and reviewers say the signage there is easy to miss
  • A couple of reviewers describe slow turnaround when a medication needs to be specially ordered
Reputation scorecardrank in Seattle
Rating4.8 / 5
Review volume153 · 83th
Confidencemoderate
Recency3 months ago
Info completenesssite · phone · hours
Rating breakdown92% 5-star
✓ VerifiedSource: Google

Our take: It's the highest-rated pharmacy on this list with the deepest review base, and the go-to if your doctor is in the Polyclinic building. Just confirm ahead of time whether your prescription needs the separate compounding pickup.

Website Book now+1206-324-6990 Directions

904 7th Ave #103, Seattle, WA 98104

CVS Pharmacy logo
#2🕑 Open 7 days↩ Responds to reviews

CVS Pharmacy

3.6171 Google reviews

This CVS Pharmacy sits inside the downtown Seattle Target on 2nd Avenue, filling standard prescriptions with the national chain's app-based refill and vaccination scheduling. It keeps evening and weekend hours that most independent pharmacies in the city don't offer, and patients can pick up medication while running other errands in the same store.

What people praise

  • Open evenings and weekends, unusual for a Seattle pharmacy
  • Named staff members praised repeatedly for patient, thorough phone support
  • Convenient one-stop pickup inside Target
  • App keeps prescription and vaccination records in one place

Worth knowing

  • Rating trails the rest of this list, with a notable share of one-star reviews citing wait times and stock issues
  • A few reviewers describe communication breakdowns around refill availability
Reputation scorecardrank in Seattle
Rating3.6 / 5
Review volume171 · 90th
Confidencemoderate
Recency6 weeks ago
Info completenesssite · phone · hours
Rating breakdown49% 5-star
✓ VerifiedSource: Google

Our take: The most-reviewed pharmacy here and the easiest to reach for evening or weekend pickups, but the mixed feedback on wait times means it's worth calling ahead if your prescription is urgent.

Website Book now+1206-494-3251 Directions

1401 2nd Ave, Seattle, WA 98101

Kelley-Ross Compounding Pharmacy logo
#3🕑 Open 5 days/wk↩ Responds to reviews

Kelley-Ross Compounding Pharmacy

4.646 Google reviews

Kelley-Ross Compounding Pharmacy is the specialty compounding arm of the Kelley-Ross group, custom-formulating medications that aren't available in standard retail form. It works closely with local doctors on rare-disorder prescriptions and also handles mail delivery for patients who can't easily get downtown.

What people praise

  • Custom formulations completed quickly, even on tight timelines
  • Staff described as efficient even when raw materials have to be sourced
  • Offers mailing and delivery for patients who can't visit in person
  • Courteous, clear communication throughout the compounding process

Worth knowing

  • A specialty operation, so it's not the fastest option for routine, non-compounded prescriptions
Reputation scorecardrank in Seattle
Rating4.6 / 5
Review volume46 · 63th
Confidenceearly
Recency6 months ago
Info completenesssite · phone · hours
Rating breakdown85% 5-star
✓ VerifiedSource: Google

Our take: If your doctor has written a compounded prescription, this is the specialist to call. The rating rests on a smaller review base than the flagship location, but every review describes the same fast, careful service.

Website+1206-622-3565 Directions

805 Madison St #702, Seattle, WA 98104

Eastern's Pharmacy logo
#4🕑 Open 5 days/wk↩ Responds to reviews

Eastern's Pharmacy

4.739 Google reviews

Eastern's Pharmacy is an independent, family-run pharmacy in Seattle's First Hill neighborhood that fills standard prescriptions alongside a retail counter selling vitamins, cold and flu remedies, and gift items. It's positioned near Virginia Mason Medical Center and offers both mail and in-store prescription pickup.

What people praise

  • Text notifications when prescriptions are ready
  • Staff proactively call when something is out of stock instead of leaving patients guessing
  • Walk-in flu shots and COVID boosters available with short waits
  • Described repeatedly as a genuine "family pharmacy" feel

Worth knowing

  • Smaller operation than the chains, so it doesn't carry every specialty stock item
Reputation scorecardrank in Seattle
Rating4.7 / 5
Review volume39 · 53th
Confidenceearly
Recency2 months ago
Info completenesssite · phone · hours
Rating breakdown82% 5-star
✓ VerifiedSource: Google

Our take: A strong pick for anyone near First Hill or VMMC who wants a pharmacy that actually calls when there's a problem instead of leaving you to find out at the counter.

Website+1206-622-6094 Directions

515 Minor Ave #120, Seattle, WA 98104

Kelley-Ross Capitol Hill Pharmacy logo
#5🕑 Open 5 days/wk↩ Responds to reviews

Kelley-Ross Capitol Hill Pharmacy

4.832 Google reviews

Kelley-Ross Capitol Hill Pharmacy is the group's Capitol Hill location, running a travel clinic alongside standard prescription filling. It offers pre-trip vaccination consultations and keeps split daytime hours to accommodate lunch-hour scheduling.

What people praise

  • Travel clinic praised for a smooth, well-explained vaccination process
  • Reasonable pricing on travel vaccines according to reviewers
  • Phone menu is simple, and calls are answered quickly
  • Staff work to resolve billing confusion directly and personally

Worth knowing

  • Entrance and signage are confusing on first visit, per multiple reviewers
  • Street parking near the Capitol Hill location can be limited
Reputation scorecardrank in Seattle
Rating4.8 / 5
Review volume32 · 30th
Confidenceearly
Recency4 months ago
Info completenesssite · phone · hours
Rating breakdown88% 5-star
✓ VerifiedSource: Google

Our take: The smallest review base of the three Kelley-Ross locations but the rating matches the flagship, and it's the one to call specifically for travel vaccines before an upcoming trip.

Website+1206-641-7766 Directions

400 E Pine St Ste 100B, Seattle, WA 98122

6

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Health information disclaimer: This directory is informational only and not medical advice. Rankings reflect publicly available Google ratings and review volume, not clinical outcomes. Verify any practitioner’s credentials and registration with the relevant medical board before booking.

How we score

Every number on this page comes from public Google data as of the date shown, not opinion or payment. Rating is the pharmacy’s live Google star average. Review volume measures how many customers have rated them, ranked against other Seattle pharmacies. Confidence weighs the rating by that volume, so a 4.8 built on 150 reviews carries more weight than a 4.8 built on 30. Recency reflects how recently people are still leaving reviews. No business can pay to change these numbers.

What does a pharmacy visit cost in Seattle? (2026)

Prescription costs depend heavily on insurance coverage, the specific medication, and whether it’s a generic or brand-name fill, so we can’t publish a general price table without misleading readers. What we can say: independent pharmacies like Kelley-Ross and Eastern’s often price-match or beat chain pharmacies on cash prices for generics, and compounded medications are priced per formulation since they’re custom-made. Call ahead with your insurance information or ask for a cash price before you commit.

Serving all of Seattle

These pharmacies cover downtown Seattle, First Hill, and Capitol Hill, with the Kelley-Ross group alone spanning three neighborhoods. Searching for a pharmacy near me? Every listing below shows a live phone number and directions so you can find the closest option and confirm same-day availability before you go.

What to ask before you choose a pharmacy

  • Do you accept my insurance, and what’s the cash price if not?
  • Can you fill a compounded prescription, or do you need to refer me elsewhere?
  • How long does a new prescription typically take to fill?
  • Do you offer mail delivery or text notifications when a prescription is ready?
  • Do you carry walk-in vaccines or travel immunizations?

Frequently asked questions

How did you choose these Seattle pharmacies?

We started from pharmacies in Seattle with a public Google presence, then ranked by rating, review volume, consistency, and recency. See How we score above.

Are these rankings paid?

No. Rankings come from public Google data. A business can pay to be a Featured Partner, which adds a badge and top placement, but that never changes another business’s score or position.

How often is this updated?

The data carries a verified date (August 2026 on this page). We refresh listings periodically so ratings and review counts stay current.

Which Seattle pharmacy handles compounded prescriptions?

Kelley-Ross Compounding Pharmacy specializes in custom formulations that standard retail pharmacies can’t fill. Ask your prescribing doctor whether your medication needs to be compounded.

Is there a pharmacy in Seattle open evenings and weekends?

The CVS Pharmacy inside the downtown Target keeps extended evening and weekend hours, which is unusual among the independents on this list. Call ahead to confirm pharmacist availability.

The bottom line

Kelley-Ross Pharmacy at 7th and Madison is the safe default for most people downtown, with a deep review base and a near-perfect rating. If your prescription needs compounding, go straight to the Kelley-Ross Compounding Pharmacy instead, and call ahead either way to confirm pickup logistics.

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