Real field pharmaceutical wastewater (RPW) was initially treated using sequence batch reactor (SBR) with anoxic-aerobic-anoxic microenvironment SBR operation showed good treatment efficiency (COD removal, 88.8%; Nitrates removal, 73.1%; Phosphates removal, 72.67%). The effluent (RPWT) generated from SBR treatment (COD-4704 mg/l, nitrates-158 mg/l, phosphates- 99 mg/l) was further subjected to microalgae cultivation for tertiary treatment with simultaneous biomass and lipid production. By the end of BGP, COD removal efficiency increased to 74.48% accounting for total (combined SBR and microalgae cultivation) treatment efficiency of 97.1%. This can be attributed to the heterotrophic/mixotrophic utilization of the organic carbon by the microalgae (Dev 2012). Nitrates concentration of 158 mg/l on the first day of cultivation decreased to 60 mg/l by the end of BGP with a removal efficiency of 62% accounting for total (combined) removal efficiency of 77.6%. It depicts the utilization of nitrates which gradually get denitrified by microalgae either by converting to organic N2 in their cell, or reduce to elemental N2 and lost as a gas . The phosphates were reduced from 99 mg/l to near zero by the end of second day. Microalgae assimilate phosphate