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At present, a new wave of entrepreneurship has emerged and made a significant impact in Vietnam despite challenges. The study aims to assess the factors related to the entrepreneurial intentions of young pharmacists in 2023 in the Mekong Delta region. A cross-sectional descriptive method was conducted, involving interviews with 815 young pharmacists living in the Mekong Delta region, via a pre-designed research questionnaire. Results showed that 6 out of 43 variables were eliminated after Cronbach’s alpha was run. The Kaiser-Meyer-Olkin coefficient (0.5–0.923) indicated statistical significance and suitable conditions for Exploratory Factor Analysis. Confirmatory Factor Analysis and Structural Equation Modeling results were consistent with market data. With the impact of difficulties, attitude, perception of behavioral control, subjective norms, achievement needs on knowledge, and knowledge on entrepreneurial intentions (p < 0.05). In conclusion, the study successfully collected samples and gained a deeper understanding of the factors influencing the entrepreneurial intentions of young pharmacists.