The Shofa Pharmacy aimed to improve its performance by combining the Balanced Scorecard and Risk Management. They used the ISO 31000 framework for risk assessment and focused on financial, customer, internal business, and learning perspectives. The identified risks included financial, operational, technology, ethics, health, economic, legal, political, market, and project risks. The highest risks were in technology, economic, political, and project areas. Risk management strategies were implemented to reduce these risks.