Pharmacy, one of the oldest health professions, has evolved over millennia from mystical herbalism and religious healing practices to a scientifically rigorous and globally regulated discipline. This comprehensive review traces the journey of pharmacy from its roots in ancient Civilisations-from the legendary Egyptian polymath Imhotep, often regarded as the first physician-pharmacist-through classical antiquity, the Islamic Golden Age and medieval monastic traditions, to the scientific enlightenment, industrial revolution and contemporary digital era. The article explores how ancient records such as the Ebers Papyrus and Mesopotamian clay tablets served as early pharmacopoeias. It highlights contributions of foundational figures like Galen, Dioscorides and Avicenna and examines how pharmacy developed in tandem with medicine, botany, alchemy and chemistry. The Islamic world’s preservation and advancement of pharmaceutical knowledge significantly influenced European practices during the Middle Ages and the Renaissance. The emergence of apothecaries, the professionalisation of pharmacy through regulatory frameworks and the impact of scientific and technological revolutions-including mass production, synthetic chemistry and biotechnology-are thoroughly analysed. The review also addresses the rise of clinical pharmacy, the shift toward patient-centred care and the modern-day challenges and innovations in global health, digital transformation and pharmaceutical education. Focusing on Africa’s unique contributions and current pharmaceutical landscape, the work underscores pharmacy's rich heritage and future potential on the continent. It concludes with a call to reclaim the pharmacy’s independence and redefine its role in a rapidly changing health ecosystem. Through a detailed historical lens, this study celebrates pharmacy as both an ancient art and a modern science, central to the pursuit of health and human flourishing across civilisations. The history of pharmacy, one of the oldest professions, is a rich tapestry of science, art, and human care, deeply intertwined with advancing medicine and public health. From its origins in ancient civilisations to its present role in global healthcare, pharmacy has continuously evolved to meet the changing needs of society. Today, as we celebrate World Pharmacists Day on September 25, 2024, it is an opportune moment to reflect on the journey of pharmacy from the time of Imhotep, the first known pharmacist, and look ahead to the bright future of the profession in a rapidly advancing world. Pharmacy education in India has a rich history, originating with the establishment of Banaras Hindu University in 1917, and evolving to encompass diverse pharmacy programs across the country. The historical overview delves into ancient medicinal traditions, indigenous practices, foreign influences, and pivotal eras like Mughal rule and British colonialism. The emergence of modern pharmacy, marked by the growth of the pharmaceutical industry and the Pharmacy Act of 1948, paved the way for post-independence developments, including India's prominence in generic drug production. Traditional medicine integration, challenges in regulation, and the emphasis on research and innovation in drug discovery are key aspects. The pharmaceutical industry's trajectory from traditional medicines to global manufacturing hub is explored, as is the evolution of pharmacy practice towards a broader healthcare role. Professional associations like the Pharmacy Council of India and the Indian Pharmaceutical Association have played vital roles, while challenges and future directions underscore the need for standardization, regulatory compliance, and continued research in the evolving landscape of Indian pharmacy.
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Mangilal* et al. (2026) studied this question.
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