Individual ProviderShadab Salam DastagirPharmacistPharmacy Service ProvidersPractice Address120 Court St, Brooklyn, NY 11201-5607(718) 643-2146PECOS EnrollmentBased on the most recent information from CMS, provider Shadab Salam Dastagir does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1710161955Provider TypeIndividualFull NameDastagir, Shadab SalamCredentialB.PHARMGenderFemaleSole ProprietorNoEnumeration Date12/24/2007Last Updated4/28/2020Contact InformationPractice LocationPractice Address120 Court St, Brooklyn, NY 11201-5607Phone(718) 643-2146Fax(718) 643-4520Mailing LocationMailing Address120 Court St, Brooklyn, NY 11201-5607Phone(718) 643-2146Fax(718) 643-4520Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense049696New York